University of Pittsburgh PITT HOME  |  FIND PEOPLE  |  CONTACT US
  UPMC Shadyside - Family Medicine Residency Program
HOME
ABOUT US
RESIDENCY PROGRAM
AWARDS, RECOGNITIONS AND SCHOLARLY ACTIVITIES
FREQUENTLY ASKED QUESTIONS
RESIDENCY CURRICULUM
  • Rotations
  • Behavioral Science Curriculum
  • Pediatrics Curriculum
  • Sports Medicine Curriculum
  • Surgery Curriculum
  • Women's Health Curriculum
  • Didactics
  • FELLOWSHIPS
    THE FAMILY HEALTH CENTER
    OSTEOPATHIC RESIDENCY
    COMMUNITY SERVICE OPPORTUNITIES
    FACULTY
    RESIDENTS AND FELLOWS
    MEDICAL STUDENTS
    ABOUT SHADYSIDE HOSPITAL
    ABOUT PITTSBURGH
    LINKS
    RESIDENCY CURRICULUM
     
    bullet point  Rotations
     
     
    There are 13 four-week periods each year. All the rotations in the first year are required. The number of elective rotations increases in the second and third years.

    REQUIRED ROTATIONS


    First Year
    RotationPeriod(s)Site
    Community Medicine1.0UPMC Shadyside
    Family Medicine/Inpatient4.0UPMC Shadyside
    Surgery A1.0UPMC Shadyside
    ICU1.0UPMC Shadyside
    Elective0.5UPMC Shadyside
    ER Skills "A"1.0UPMC Shadyside
    Obstetrics1.0Magee-Womens Hospital of UPMC; UPMC Shadyside
    Ambulatory Peds/Nursery1.0Magee-Womens Hospital of UPMC; UPMC Shadyside; Pediatric office sites
    Pediatrics/Inpatient1.0 Children's Hospital of Pittsburgh
    Orientation0.5UPMC Shadyside
    OH0.5UPMC Shadyside
    Gynecology PGY-10.5Magee-Womens Hospital of UPMC; UPMC Shadyside

    Second Year
    RotationPeriod(s)Site
    Family Medicine/Inpatient3.0UPMC Shadyside
    Pediatrics-CHP ER 2nd Year1.0 Children's Hospital of Pittsburgh
    Obstetrics1.0Magee-Womens Hospital of UPMC; UPMC Shadyside
    Cardiology/Inpatient/Outpatient1.0UPMC Shadyside
    Sports Medicine1.0UPMC Shadyside
    Gynecology PGY-21.0Magee-Women's Hospital of UPMC; UPMC Shadyside
    Health Systems Management0.5UPMC Shadyside
    Surgery B1.0UPMC Shadyside
    Emergency Room 21.0UPMC Presbyterian
    Psychiatry: Outpatient and Inpatient Consultation/Liason1.0UPMC Shadyside


    Third Year

    RotationPeriod(s)Site
    Chief Resident/Family Health Service1.5UPMC Shadyside
    Family Medicine/Inpatient1.0UPMC Shadyside
    Neurology/Inpatient/Outpatient 1.0UPMC Shadyside
    Pediatrics-CHP ER 3rd Year1.5 Children's Hospital of Pittsburgh
    Orthopedics/Outpatient1.0UPMC Shadyside
    Health Systems Management0.5UPMC Shadyside
    Geriatrics/Inpatient/Nursing Home/Outpatient1.0UPMC Shadyside; Shadyside Nursing & Rehabilitation Center
    Dermatology1.0UPMC Shadyside
    ENT0.5UPMC Shadyside
    Ophthalmology0.5Ophthalmology Office Sites
    Urology0.5UPMC Mercy



    Electives
    - Allergy/Immunology
    - Anesthesiology
    - Integrative Medicine
    - Gastroenterology
    - Global Health
    - Heart Station
    - Hematology/Oncology
    - Infectious Disease
    - Nephrology
    - Neurology
    - Obstetrics
    - PACT
    - Pain Management
    - Palliative Care
    - Podiatry
    - Public Health
    - Pulmonary
    - Radiology
    - Rheumatology
    - Rehabilitation
    - Rural Practice
    - Rural ER
    - Trauma
    - In addition, any required rotation may be taken again as an elective.


    All PGY1, PGY2 and PGY3 residents will participate in a Longitudinal Outpatient Practice Improvement Rotation (LOPIR) for the entire three years of their residency. Residents are divided into one of four workgroups, focused on improviding the quality of care for a given sphere of outpatient primary care provided at the Family Health Center. Residents learn through work in multidisciplinary teams, individualized work with faculty, preparation and presentation of own projects, conduct peer evaluations and ultimately, present the teams' work in the form of a senior project.

    For those who wish to further their training beyond the three-year curriculum, UPMC Shadyside offers fellowship opportunities in Primary Care Sports Medicine, administered by our residency program; Faculty Development Fellowship, administered jointly through UPMC St. Margaret's and UPMC Shadyside's residency programs, and Geriatrics, administered through the Division of Internal Medicine. Both programs are based at UPMC Shadyside and administered on-site. Further information can be obtained through the Family Medicine Residency Program.

     
    Documents
  • Longitudinal Outpatient Practice Improvement Rotation Overview
  •  
      to topto top
     
     
    bullet point  Behavioral Science Curriculum
     
     
    The Shadyside Family Medicine Residency is committed to providing a strong behavioral science curriculum. The core faculty includes a licensed clinical social worker and a psychiatrist. The curriculum is focused on teaching at the point of care. There are several initiatives designed for this purpose. Evidence based protocols for the diagnoses and treatment of depression, anxiety and substance abuse in primary care both promotes and supports the residents’ competence in managing these commonly presenting disorders.

    Residents can see their outpatients together with the psychiatrist to improve their diagnostic skills as well as to enhance competence in biopsychosocial treatment planning and psychopharmacologic treatment. Select well-child care visits are co-precepted by a pediatrician and clinical social worker. During these expanded visits, residents enhance their ability to identify developmental/behavioral concerns and provide the appropriate guidance or intervention strategies.

    Residents fine-tune medical interviewing skills by reviewing videotaped office visits with the faculty immediately following designated clinical sessions.

    A Behavioral Science faculty member joins the inpatient team for table rounds on a weekly basis. A bi-weekly Balint group, led by leaders nationally credentialed by the American Balint Society, enhances residents’ understanding of the doctor-patient relationship. On alternate weeks, Resident Support groups promote coping skills. In addition, residents make several visits to social service agencies to learn about resources available in the community.

    Psychiatry/Behavioral Medicine conferences are held monthly, with various formats including skill development workshops, case conferences, psychopharmacology consultations, patient interviews, and a variety of other presentations. These sessions are interactive and multi-modal. In addition to the substantive formal instruction, behavioral health issues are addressed regularly by the Family Medicine faculty throughout the three years as part of inpatient and outpatient clinical teaching.

    Members of the behavioral science faculty are able to see patients with residents when needed. A rotation in inpatient/outpatient psychiatry in the second year rounds out the curriculum. This rotation offers experiences in inpatient psychiatry consultation-liaison services and outpatient psychiatry in medical outpatient settings. Residents have the opportunity to see psychiatric problems in both medical inpatient and outpatient settings where family physicians ordinarily encounter these issues. They gain more experience in recognition, diagnosis, biopsychosocial treatment planning and psychopharmacologic management.

     
      to topto top
     
     
    bullet point  Pediatrics Curriculum
     
     
    The pediatrics program at UPMC Shadyside provides exposure to the whole scope of pediatrics required for the practice of family medicine. Four required rotations are dedicated to pediatrics during the residency and electives are also available. One month is spent at Children's Hospital of Pittsburgh (CHP) of UPMC, where the resident provides care on an inpatient team. CHP provides the inpatient and emergency care for the majority of children in the City of Pittsburgh and surrounding areas. CHP averages 12,500 admissions per year; therefore, residents see patients with common problems, as well as, some more complex cases during this month.

    The Ambulatory Peds/Nursery rotation during the PGY-1 year is divided into a newborn nursery experience and an ambulatory pediatrics experience. The newborn nursery experience consists of two weeks of daily rounds in the mornings in the well-baby nurseries at Magee-Women’s Hospital of UPMC with pediatric residents and a faculty pediatrician from the University of Pittsburgh School of Medicine, Department of Pediatrics. In addition, residents spend three afternoons per week for two weeks in the newborn follow-up clinic where many breastfeeding babies are seen. A formal web-based newborn nursery curriculum accompanied by case discussions and required readings supports this clinical experience. In addition, first-year residents on this rotation spend two and one half-days per week for two weeks in a board certified pediatrician's office. This ambulatory pediatric experience is supplemented by four mornings of a didactic and clinical ambulatory pediatric care curriculum, taught by UPMC Shadyside's faculty pediatrician. Teaching strategies include case discussions, lectures, videos, assigned readings and self-study modules.

    During the second and third years of training, residents spend one rotation each year in the Emergency Department at CHP. Since CHP averages 53,000 emergency room visits per year, this experience gives exposure to a wide variety of acute care pediatrics in a busy setting. In addition, third year residents spend another two weeks in the CHP Emergency Department working four ten-hour shifts. During this two week rotation, residents are assigned to Family Health Center office hours in order to catch up on required patient numbers.

    One of the joys of residency is delivering a child and then following this child throughout his or her early years of life. Beyond scheduled rotations, residents will spend time seeing children as part of their continuity care at UPMC Shadyside's Family Health Center. Approximately 20 percent of all patient visits at the Family Health Center are for patients under the age of 15 years. Residents will see children for acute care, well-child checks with immunizations, chronic medical care, and a variety of medical examinations.

    On call, residents will triage phone calls for our pediatric population. Other required rotations, such as otolaryngology and orthopedics, have pediatric components as well. Residents are required to complete a Pediatric Advanced Life Support (PALS) course during their second year.

    Continuing education during all three years of residency includes lectures on various primary care topics provided by pediatric and family Medicine faculty. Madeline Simasek, MD, a full-time faculty member and board-certified pediatrician, coordinates the pediatrics curriculum. Dr. Simasek is available to see patients with complicated problems in consultation with residents at the Family Health Center. In addition, she provides feedback on care delivered by the residents. She also co-precepts select well-child visits with our clinical social worker. These sessions are designed to teach developmental/behavioral pediatrics at the point of care.
     
      to topto top
     
     
    bullet point  Sports Medicine Curriculum
     
     
    Common musculoskeletal problems and sports injuries are an everyday occurrence for patients everywhere. The curriculum at UPMC Shadyside offers a plentiful variety of exposures to primary care sports medicine. The Shadyside Family Medicine Residency was one of the first programs to offer an accredited Primary Care Sports Medicine Fellowship in the country.

    Residents will be taught how to evaluate and treat orthopaedic problems and musculoskeletal injuries throughout their residency training. Exposure to sports medicine occurs during Emergency Room rotations at UPMC Shadyside and the Children's Hospital of Pittsburgh of UPMC, training room exposure at a local college, acute visits at the Family Health Center, and in the dedicated month long sports medicine rotation during the second year and orthopaedics rotation during the third year.

    The sports medicine fellow, sports medicine faculty members, and family medicine faculty members are available to precept office visits with residents and act as consultants, who, together with the resident develop treatment plans for athletes and patients. Weekly didactic sessions during dedicated rotations and one-on-one precepting are hallmarks of the sports medicine and orthopaedic curriculum here at Shadyside.
     
      to topto top
     
     
    bullet point  Surgery Curriculum
     
     
    The surgery curriculum at UPMC Shadyside is geared toward outpatient surgical procedures and the diagnosis of surgical conditions. One month is spent during the intern year on General Surgery and one month is spent during the second year on Plastic Surgery. This time is focused on improving technical skills, acute diagnosis, and post-op management.

    Outpatient rotations are completed in ENT and Urology, with the focus on primary care aspects of common problems in these two specialties. At UPMC Shadyside's Family Health Center Procedure Clinic, family medicine attendings supervise residents in procedures such as skin biopsies and excisions, cryosurgery, joint and soft tissue injection, colposcopy, IUD insertion, and toenail removal. Outside of the surgical curriculum, suturing experience comes with ER rotations and treating simple lacerations at the Family Health Center.

    A workshop required on the first day of all first-year surgery rotations ensures a basic skill level with suturing techniques and surgical knot tying. Additional didactic workshops focus on wound closure and office surgical procedures.

     
      to topto top
     
     
    bullet point  Women's Health Curriculum
     
     
    The curriculum for maternity care, gynecology, and general women's health care is multifaceted, combining longitudinal, rotational, didactic, and community-based learning. The obstetrical experience at UPMC Shadyside is a prime example of the flexibility of the program. Furthermore, the Family Medicine Residency Program focuses on developing a family-centered approach to maternity care on the Family Medicine obstetrics rotations in collaboration with the Magee-Women’s Hospital of UPMC.

    The faculty at UPMC Shadyside includes five family doctors who actively practice obstetrics and one double boarded Family Medicine/Obstetrics physician. This mix allows for collaboration and co-management of more high risk obstetric patients. Residents are encouraged to interact with obstetricians, doulas, and labor nurses to aid in developing their own "personal style" of providing maternity care. The use of jacuzzis, birthing balls, intermittent monitoring and nitrous oxide are all used during labor and delivery at Magee-Women’s Hospital of UPMC.

    Residents will be taught routine longitudinal family-centered prenatal care throughout their entire residency at the UPMC Shadyside Family Health Center. Residents will spend four weeks each year during the first two years of residency on labor and delivery at Magee-Women’s Hospital of UPMC. For those with an interest in pursuing obstetrics, rotations are available at out-of-town hospitals that have high volumes of deliveries. Elective rotations are available during the third year as well.

    The flexibility of this curriculum allows some residents to fulfill the minimum RRC requirement for deliveries while others pursue a more high-volume experience. The number of deliveries will depend on each resident's desires, goals, and aspirations for OB practice. All residents complete the ALSO course and are encouraged to learn obstetric ultrasound and first assisting on C-sections.

    Residents will spend one month during their first year gaining competency in basic gynecology and then a second month in their second year working directly with gynecologists and family physician attendings, gaining skills necessary to provide comprehensive gynecologic care, including proficiency in options counseling, increasing procedural competency and direct exposure to operative gynecology and office gynecologic consultations. Elective rotations are available during the third year for additional training.

    They are taught the importance of family planning and contraceptive counseling throughout residency. Residents will learn routine office gynecologic procedures, and they will have the opportunity to achieve competency in gyn procedures such as IUD and Implanon insertion, endometrial biopsy, and colposcopy. By the end of training at UPMC Shadyside, residents feel comfortable providing comprehensive gynecologic care for their female patients.

    Lectures, case presentations, precepting, grand rounds, and community outreach activities regularly address issues in obstetrics, gynecology, and general women's health care.
     
      to topto top
     
     
    bullet point  Didactics
     
     
    Family Medicine Didactics occurs weekly on Wednesday afternoons from 12:30 pm to 4:00 pm and includes topics presented by family medicine physicians and specialists. Patient Centered Medical Home (PCMH) requirements, such as chronic care team meetings, also occur during this time to maximize participation. Family Medicine-pertinent topics run on an 18-month cycle and routinely incorporate behavioral science and pediatric topics.

    Other residency specific presentations include the following: Electronic Health Record (EHR) updates/best practices, Medical Decision Making (MDM), Morbidity and Mortality Conferences, and Resident/Faculty Meetings.

    Our quality improvement curriculum, Longitudinal Outpatient Practice Improvement Rotation (LOPIR) occurs every other week, and it is dedicated to multi-disciplinary work groups or large group presentation on resident quality improvement projects. All Family Medicine Residents are expected to attend didactics unless on a restricted rotation.

    Didactics Curriculum:
    • Allergy/ENT/Ophthalmology
    • Behavioral Health
    • Cardiology
    • Dermatology
    • Endocrine and Metabolic Disorders
    • Emergency Medicine
    • Gastroenterology
    • Geriatrics
    • Global Health
    • Gynecology
    • Health Maintenance/Preventive Care
    • Infectious Disease
    • Medical Decision Making/Evidence Based Medicine
    • Musculoskeletal
    • Morbidity and Mortality Conference
    • Neurology
    • Obstetrics/Maternity Care
    • Pain/Palliative Care
    • Pharmacotherapy
    • Pediatrics
    • Nephrology/Urology
    • Respiratory
    • Surgery

    Workshops and Special Sessions:
    • Annual: Resident Led “State of the Residency” and Faculty Response
    • Annual: Research Day
    • Monthly Behavioral Health Workshops
    • End of Life Care
    • Interviewing Skills
    • Musculoskeletal Exam Workshop
    • Pediatric Immunizations
    • Professionalism
    • IUDs
    • Office Surgery
     
      to topto top
     
     
     
       Health Sciences @ Pitt   |    UPMC   |    HSLS   |    School of Medicine   |    Health Sciences Calendar   |    Our News & Events  
    Top of Page  |  Home  |  Contact Us Last Update 10/17/2016
    © Office of the Senior Vice Chancellor for the Health Sciences, University of Pittsburgh. All rights reserved.